How Does Consilium Claims Negotiation Work?

If you’re new to the negotiation side of the healthcare industry you might be wondering how you even start negotiating claims. Or maybe you’ve been around for a while and want to see our approach on claims, either way we’re glad that you decided to stop by.

Today, we’re going to talk about our Consilium Negotiation video and what sets us apart from the rest of the negotiation companies.

Our in-house staff of negotiators must be certified medical coders so they have an understanding of what the claims are even charging for. They have vast resources to benchmark each and every claim accurately to ensure that our negotiation achieves the best possible discount. Before the claim is even put into the negotiators queue, the negotiator knows exactly why the claim was held for negotiation and the pathway for the negotiator to achieve the best possible discount.

What sets us apart from the competition is that the Consilium claims flow places negotiation first. Our certified medical coders negotiate off of what Medicare would reimburse not off of billed charges, which would give you minimal savings. Negotiating off of Medicare gives you the maximum amount of savings.

To see how we can further your discounts beyond negotiation view the Consilium Decision Engine or stay tuned for our next blog: The Life of a Claim – How the Consilium Decision Engine works.